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Home My WebLink About0158567-Building (interior remodel) � CITY OF OSHKOSH No 158567 � OSHKOSH BUILDING PERMIT -APPLICATION AND RECORD ON THE WATER Job Address 2219 SHERIDAN ST Owner JUSTIN W ZIRBEUSARAH E HERMANN Create Date 10l31/2013 Designer Contractor OWNER Inspector Nicole Krahn Category * 140-Interior Remodeling Plan Type � Building � Sign 0 Canopy � Fence 0 Raze �, Zoning R_1 Class of Const: Size Unfinished/Basement Sq.Ft. Rooms Height Ft. ❑ Projection !, Finished/Living Sq.Ft. Bedrooms Stories Canopies Garage Sq.Ft. Baths Signs Foundation � Poured Concrete � Floating Slab � Pier � Other � Concrete Block � Post � Treated Wood — Occupancy Permit Occupancy Fee $0.00 Flood Plain Height Permit Park Dedication #Dwelling Units 0 #Structures 0 Use/Nature 'SFR/interior remodel to include creating a o�ce in the lower level of the tri level house/all work will meet state and local codes/must of Work �maintain 7'high ceiling in room I, , , — ----- ' —-- HVAC Contractor Plumbing Contractor Electric Contractor Fees: Valuation $1,500.00 Plan Approval $0.00 Permit Fee Paid $44.00 Park Dedication $0.00 Issued By: c�. Date 10/31/2013 Final/O.P. 00/00/0000 ❑ Permit Voided�� Parcel Id# 1215290000 In the performance of this work I agree to perform all work pursuant to rules governing the described construction. While the City of Oshkosh has no authority to enforce easement restrictions of which it is not a party,if you perForm the work described in this permit application within an easement,the City strongly urges the permit applicant to contact the easement holder(s)and to c re any necessary a rovals b e sta 'ng such activity. I have read an u erstand t�ie�fore me ioned in atio Signature ,i�n.. U Date Q �j (� AgenUOwner Address _ Oshkosh___WI 54901 - 0000 Telephone Number * 140-Interior Remodeling See Chapter NR 447 of the Wisconsin Administrative Code and Notification Form 4500-113 on the DNR Asbestos Program website;http://dnr.wi.gov/air/compenf/asbestos/.For additional information on hazards present in buildings see the Pre-Demolition Environmental Checklist at http://dnr.wi.gov/org/aw/wm/publications/anewpub/WA651.pdf To schedule inspections please call the Inspection Request line at 236-5128 noting the Address, Permit Number,Type of Inspection(i.e. Footing,Service, Final,etc.),Access into Building if Secure(how do we gain entry),your Name and Phone Number. Unless specified otherwise,we will assume the project is ready at the time the request is received. Work may ! continue if the inspection is not performed within two business days from the time the project is ready. ��1 � � • ' ' � � � . • � • � � � � ❑ Check this box if you are a contractor participating in the Permit Fee Account System and you would like this permit processed through your account. Project Address: �.� 9 s�l�lOA� $j' Circle one: Single Family Duplex Owner's Name: Sy��n� ��,(��` Daytime Phone #: 9ZV '38�'`�.38 : Contractor's Name: � �,a Daytime Phone#: If the contractor is applying for the permit provide the following: Dwelling Contractor# Contractor Qualifier# *These two credentials a�•e r^equi�•ed by the State of Wisconsin Safery and Buildings Division fo�-any contractors conducting wo�•k on residential property. � Value of the project including labor and material costs $ � , �OD *The value for both materials a�id labor is required to ensure consis ncy in assessing permit fees for all applicants even ifyou'i-e doing your own work. A general rule of thumb is to double the mate�•ial cost or provide an estimate from a conti�actor. Ful1 description of the work being done: .�C.�''�0 0� l�O�.Jf ti l�cl LL- L L�,S�7� C o.f 3?RK.T/Jn►� O� I�I ELJ (��F/C 4 S�Ac�. }s( Cty�x.2 L��cL. O�Fitf f'a B� �C'.��cy �i.��1N�� l,J 1'L Fd IN L1� FG d t�ti.t' I�F'�C.�I�'!1 Q V✓•G{�Lf.0 �(EJ vFFrci S pac t �,Oau�. 92 sd t'�t'� Electrical Wark is being done by: t�Wr�t�lZ Plumbing Work is being done by: I\/ � Heating Work is being done by: /� Any work not noted on this application will not be included on the permit! The following documents are attached to this application: �5.2 Sets of Framing Plans �Applicable fees Please read the following and sign and date this application prior to applying for the building permit. I certify the above ir formation is complete and accurate. Any deviations from the above submitted information may require additional reviews and permits to be obtained. I acknowledge and agree to these terms. Signature: Date: �d 3� 4 I/4/2013